NURS 6501 Knowledge Check: Cardiovascular and Respiratory Disorders Scenario 2: Pleural Friction Rub

NURS 6501 Knowledge Check: Cardiovascular and Respiratory Disorders Scenario 2: Pleural Friction Rub

A 35-year-old female with a positive history of systemic lupus erythematosus (SLE) presents to the Emergency Room (ER) with complaints of sharp retrosternal chest pain that worsens with deep breathing or lying down. She reports a 5-day history of low-grade fever, listlessness and says she feels like she had the flu. Physical exam reveals tachycardia and a pleural friction rub. She was diagnosed with acute pericarditis.

Question:

1. Because of the result of a pleural friction rub, what does the APRN recognize?

Your Answer:

When inflammation causes the visceral and parietal pleura to become more rough, pleural friction rub can develop. Patients who have pneumonia, pulmonary embolism, or pleurisy as a result of a viral infection, among other potential reasons, frequently have a pleural friction rub. There are a number of various conditions that might lead to pleural effusion, which can be considered a potential cause of pleural rubs. Patients might be able to localize the source of the rub depending on the pain they are experiencing. It is imperative that pericardial friction rubs not be confused with pleural friction rubs, as the latter is an indication of pericarditis.

Question 4

4 / 4 pts

Scenario 4: Deep Venous Thrombosis (DVT)

A 81-year-old obese female patient who 48 hours post-op left total hip replacement. The patient has had severe nausea and vomiting and has been unable to go to physical therapy. Her mucus membranes are dry. The patient says the skin on her left leg is too tight. Exam reveals a swollen, tense, and red colored calf. The patient has a duplex ultrasound which reveals the presence of a deep venous thrombosis (DVT).

Question:

1. Given the history of the patient explain what contributed to the development of a deep venous thrombosis (DVT)

Your Answer:

Advancing age, extended periods of immobility, and major surgical procedures are all risk factors that contribute to the development of DVT. The most common causes of deep vein thrombosis (DVT) are damage to a vein as a result of surgery or trauma and inflammation as a result of an infection or injury. A blood clot can be caused by anything that impedes the normal flow of your blood or clotting process.